Archives for category: HEALTH

It is estimated that 22 million Americans suffer from sleep apnea, with 80 percent of the cases of moderate and severe obstructive sleep apnea undiagnosed.

If we accept the reports that a minimum of 80% of Sleep Apnea is undiagnosed, then only 20% is actually addressed in any fashion.

The undiagnosed may fit into these categories:

1. Patients have no idea that such a thing as Sleep Apnea exists.

        Hard to believe it but there are such people.
2. They know about, but have no idea that they suffer from, Sleep Apnea .
        “Isn’t snoring normal?”  “Doesn’t everyone wake up 4-6 times a night?”
3. They know they have the symptoms of Sleep Apnea but are in denial.
        A “smart lawyer” who insists sleep apnea does not exist. He tells me that I am “just as bad as [his] wife” who listens to him snore and gasp for breath every night.
4. They know they have problems but refuse to do anything about it.
       Some have heard horror stories about CPAP machines and simply do not want to take action. They need to learn about the oral appliance therapy (OAT).
5. Misdiagnosed Sleep Apnea.
        There is a lack of knowledge of sleep apnea among many health professionals. Physicians are alerted only to the stereotypes but Sleep Apnea is a non-discriminating attacker- it effects people of all genders and ages.It is often misdiagnosed as ADHD.
It is sometimes very difficult to get these people to want to be screened and diagnosed by just telling them their symptoms are evidence of a serious disease.    It is necessary for them to “see” it for themselves and for them to adopt a top down approach – of their own volition.The best way to do this is to educate them in the most simple, effective, non intimidating and cost effective way – we can show them films of OSA victims having sleep breathing events.  We must find a way to get them screened and filmed and then show them their results. This is an massive education deficit issue.  Learn how to help them: SleepGS.com

Sources

American Sleep Apnea Association  http://www.sleepapnea.org/i-am-a-health-care-professional.html

Indy Star, Lauran Neergaard, http://www.indystar.com/articles/9/186972-5719-052.html

Detroit Free Press, Bill Dow, http://www.freep.com/news/health/sleep2e_20041102.htm

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We know you are interested in developing a strong presence in the exciting and profitable world of Dental Sleep Medicine. Here are answers to the most frequently asked questions.

  1. “Are there enough patients who need my DSM Service?”

If  you did not get one new patient coming to your office because of your new magnet (DSM) you could keep a schedule filled with your existing patients. Studies show that 34 percent of the American public have symptoms of sleep disorder. That means that one of every three people that you currently treat (aside from those new patients that hear about you), are there for you to help.

According to a Harvard health report there are 18.9 million undiagnosed cases of obstructive sleep apnea and 40% (1.3 million) of CPAP users are non-compliant. So that alone conservatively projects 20.2 million victims of obstructive sleep apnea who may be helped by a dentist trained in Oral Appliance Therapy (OAT). Is there any better opportunity today in dentistry?

  1. “Why is THIS the best time for me to learn DSM?

Dental Sleep Medicine is the hottest button in dentistry today.
Awareness of sleep apnea in America is at an all-time peak. The fires of awareness are being stoked by the public media and by social media. Patients are understanding and becoming increasingly more concerned about the blockage of oxygen to the brain and to other organs. Strokes. Heart attacks. Diabetes. Dementia. People are recognizing that they have the symptoms and are asking their Dentists about it. Some Dentists have the solutions. Every Dentist would like to be “The Sleep Dentist.

  1. “How would I get paid? Do Insurances cover the Services?”

With training in Dental Sleep Medicine you will learn the answers to these often asked questions about reimbursement:

-What is the difference between dental and medical codes?
-What is Durable Medical Equipment and how does that apply to us, as dentists?
-How some dentists leave thousands of dollars of medical reimbursement on the table and lose case acceptance in the process
-What documents do I need for successful medical insurance processing?
-What do I need to know about Medicare?

-The number one medical billing error you should not make

-What  are the deductibles?

-An easy way to help your entire team eliminate any problems with Medical Billing

 4.  “How do I get Started?”

If you are interested enough to have read this far, you have already started. To succeed in DSM you must have passion for helping people and excitement for being at the forefront of a new medical/dental science. With only 4% of dental practices qualified to offer these services, you can be proud to be a medical/dental pioneer.

The first step in your education is to attend a DSM training seminar. There you will learn all the basics. Sleep Group Solutions presents two-day seminars every weekend in two different cities. The “Introduction to Dental Sleep Medicine” covers all aspects “from A to Pay”. You will learn the mysteries of the science of sleep, a functional protocol for screening and treating patients, how to find patients who need your services, the various intra-oral appliances and how to monitor their efficacy. and billing benefits with medical codes.

Oral appliance therapy (OAT) is the most convenient and preferred therapy for the mild and moderate cases and for those patients who cannot tolerate the CPAP device. Fortunately, this is where The Dentist rides in on a white horse to the rescue. We dentists, like to say, we are on the front line of the battle against sleep apnea. Dentists are in the optimum position to see the signs and symptoms and can offer the most preferred solutions to the problem..
In the words of the Great Master Yoda, in the classic Star Wars movies, “There is no ‘try’; there is only ‘do’ or ‘do not’.”

Beginning with the seminar training, the dentist must be 1000% committed to success. (Anything we endeavor will be more likely to be achieved when we are positive that we will win.) The seminar training is only the beginning of the learning process. We must retain what we have learned, continue to study, to research all new ideas and to practice our treatment plan presentations with our teams. Everyone on the team must be skilled and committed.

Sleep Apnea training, although essential, is not the end of the education. It is, as Winston Churchill said in 1942 during WWII,  “…this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.”

First Choice Practice Sales and Sleep Group Solutions

present an exciting training course on Dental Sleep Medicine with an amazing offer.

Treating Snoring and Sleep Apnea in the Dental Office – An effective protocol

Including Medical Billing for Dentists

Date:          June 22,23, 2018

Time:          8 A.M. to 5 P.M.  Both days

Location:   Ayres Hotel, Costa Mesa/Newport Beach, CA
Presenter: Dr. Dan Tache’
16 CE Credits awarded
This special program is offered by First Choice Practice Sales and Sleep Group Solutions

Of the next three patients that walk thru your doors, one will be a victim of a sleep breathing disorder….will YOU be able to identify and treat that patient?

Today’s “Hot Button”, Dental Sleep Medicine, will make YOU stand out, be sought out and become your uniqueness to serve the needs of 34% of your existing patients and… to attract many new patients. 

 

You will be able to offer not only your EXCELLENCE but also DIFFERENCE.  In this sluggish economy, where there is a perception of “financial doom”,  dental consumers have a tight hold on their wallets; dental service acceptance shows a concerning drop.
Your First Class Service and Patient Engagement are expected as basic “givens”. But what is your clinical niche?
Are YOU the dental practice they must go to? Are you the only practice around that is the “Snooze Dentist”,  the “Snore Dentist”? Are you the “Sleep Dysfunction Dentist”?

Dental Sleep Medicine is where Teeth Whitening was 20 years ago.
It is the “hot button” where Implant Dentistry was 10 years ago.
Strike while the iron is hot. Brand yourself as the “Sleep Dysfunction Dentist”
Sleep Group Solutions is the world’s largest Sleep Apnea company, concentrating on education, intra-oral appliances and supplies for the dental community
One of the most common symptoms of Obstructive Sleep Apnea (OSA) is Gastro-Esophageal Reflux Disease (GERD)
 During the cessations of breathing the body will increase its efforts to take in air. Abdominal contractions are exaggerated and increase until breathing resumes.
The contractions squeeze the stomach and force acid up the esophagus.
The efforts to breathe also increase a negative pressure in the esophagus which also pull up acid.
                                 
 
Patients in the dental office can be easily screened for Obstructive sleep Apnea (OSA) at the initial oral exam. The signs of Acid Reflux (GERD) are screaming to be noticed: Acid tooth erosion is one consequence,  bruxism is another.  A sleep questionnaire and other signs and symptoms of sleep apnea will prompt the need for a HSS (home sleep study).  This will help determine the diagnosis of OSA and  the severity. By treating the sleep apnea we can save teeth and possibly the patient’s life.
It’s so important to treat sleep apnea for many reasons.  GERD is just one of them.  One out of 3 people have a sleep disorder.  Everyone knows someone with sleep apnea and has a story to tell about it.   Don’t we, as dental professionals, have an obligation to help our patients live healthier and live longer? Every dentist should receive training to identify and treat their OSA affected patients.
 
In order to fulfill the essential number of regenerating sleep cycles the average adult needs 7-8 hours. A five stage sleep cycle repeats consistently throughout the night. One complete sleep cycle lasts about 90 minutes. So during an average night’s sleep (8 hours), an adult will experience about four or five cycles of sleep.
A Little History of Daylight Saving Time
The concept of setting the clocks ahead in the spring in order to make better use of natural daylight was first introduced in the US by inventor Benjamin Franklin in 1784.

12-30-11 Benjamin_Franklin_1767
US President Franklin D. Roosevelt instituted year-round DST in the United States, called “War Time” during World War II from February 9, 1942 to September 30, 1945. The change was implemented 40 days after the bombing of Pearl Harbor and during this time, the U.S. time zones were called “Eastern War Time”, “Central War Time”, and “Pacific War Time”. After the surrender of Japan in mid-August 1945, the time zones were relabeled “Peace Time”.
Congress decided to end the confusion and establish the Uniform Time Act of 1966 that stated DST would begin on the last Sunday of April and end on the first Sunday of November. However, states still had the ability to be exempt from DST by passing a local ordinance.
This fall, dentists will not need to “fall backward” in their practice. They have the opportunity to “spring forward” with Dental Sleep Medicine and help the millions of their Sleep Apnea victims. 
Upcoming training seminars by DSM experts are available in the following cities:
Nov 2017
PHILADELPHIA, PA – 11/03/2017 – 11/04/2017
SAN JOSE, CA – 11/03/2017 – 11/04/2017
ANAHEIM, CA – 11/10/2017 – 11/11/2017
NASHVILLE, TN – 11/10/2017 – 11/11/2017
PHOENIX, AZ – 11/10/2017 – 11/11/2017
ALBUQUERQUE, NM – 11/17/2017 – 11/18/2017
CHICAGO, IL – 11/17/2017 – 11/18/2017
TORONTO, CANADA – 11/17/2017 – 11/18/2017
LIP 8
 You can view the dates and course outlines and register here:
http://join.sleepgroupsolutions.com/seminars/
One of the most common symptoms of Obstructive Sleep Apnea (OSA) is
Gastro-Esophageal Reflux Disease (GERD)
Have you ever awakened in the middle of the night choking on acid because you’ve inhaled it and can’t breathe? You try taking in a breath and all you get is a burning in your throat and lungs. You try to expel it but it takes many tries and coughing, burning, burning. You panic,  thinking,  “Am I going to die?”  You possibly could if you hadn’t woken up!
   
HOW DOES OSA CAUSE GERD?
During the cessations of breathing the body will increase its efforts to take in air. Abdominal contractions are exaggerated and increase until breathing resumes.
The contractions squeeze the stomach and force acid up the esophagus.
The efforts to breathe also increase a negative pressure in the esophagus which also
 pull up acid.
Secondary effects of Obstructive Sleep Apnea, resulting from the GERD, are esophagus and larynx damage, aspiration pneumonia, permanent lung damage, tooth erosion, and tooth sensitivity.
GERD CAN EAT YOU AWAY
GERD, or Acid Reflux, is a digestive disorder affecting the lower or reflux esophageal sphincter (LES), the muscle connecting the esophagus and stomach. The LES is a high-pressure zone that acts as a barrier to protect the esophagus against the back flow of gastric acid from the stomach.
Normally, the LES works something like a dam, opening to allow food to pass into the stomach and closing to keep food and acidic stomach juices from flowing back into the esophagus. Gastroesophageal reflux occurs when the LES relaxes when it shouldn’t or becomes weak, allowing contents of the stomach to flow up into the esophagus.
Overweight people and pregnant women may suffer more heartburn episodes because increased abdominal pressure contributes to reflux. Pregnant women are also more prone to heartburn because the LES relaxes in response to the high levels of the hormone progesterone that occur with pregnancy. Generally, though, GERD is uncommon in people under age 40.  
Smoking can irritate the entire GI tract. Frequent sucking on a cigarette causes air to be swallowed, increasing stomach pressure and encouraging reflux. Smoking sometimes also relaxes the LES muscle.